Stenosing and calcified ureteritis occurring in Henoch–Schönlein purpura remains a rare urological complication. The authors describe their own experience of the diagnosis and treatment of this rare pathology along with a review of the literature. Recognition and early surgical management may prevent serious renal outcome. In cases of ureteral replacement, different procedures using ileal segment have been proposed. We report the results of the Cockett and Goodwin procedure with a follow–up of more than 25 years.

Keywords:
Stenosis ureteral, Henoch–Schönlein purpura, Ileal replacement
1.
Mitrofanoff P: Urétérite sténosante et purpura rhumatoïde. A propos d’un cas traité par remplacement bilatéral et total des uretères par un greffon iléal. Ann Chir Péd 1977;18:343–356.
2.
Cockett ATK, Goodwin WE: Total replacement of both ureters by an ileal segment. Ann Surg 1962;155:577–579.
3.
Maherzi A, Kaabar N, Boussetta K, Salem M, Hammou A, Chaouachi B, Bousnina S: Urétérite sténosante bilatérale au décours d’un purpura rhumatoïde de Henoch–Schönlein. Arch Pédiatr 1997;4:36–39.
4.
Piot M, Gout JP, Baudain P, Faure G, Bost M: Urétéro–hydronéphrose au cours d’un purpura rhumatoïde, urétérite sténosante? Pédiatrie 1981;36:277–281.
5.
Hayat P, Sonsino E, Bompand Y, Stora–Castaing N, Weisgerber G: Sténose ischémique de l’uretère au cours du purpura rhumatoïde. Nouv Presse Méd 1978;7:3913–3914.
6.
Kher KK, Sheth KJ, Makker SP: Stenosing ureteritis in Henoch–Schönlein purpura. J Urol 1983;129:1040–1042.
7.
Junquera JM, Rodriguez–Vigil E, Roza M, Miguel MA, Galbe M, Gonzales–Abascal R, Lorenzo J: Estenosis ureteral bilateral alternante en el curso de un Schönlein–Henoch. Actas Urol Esp 1978;2:80–90.
8.
Grotte G, Gierup J, Olsen L. Pyeloureteric obstruction causing anuria in Henoch–Schönlein syndrome: Report of one case. Z Kinderchir 1977;20:185–190.
9.
Mougenot B, Mitrofanoff P, Bouissou F, Dore F, Faure C: Urétérite sténosante au cours du purpura rhumatoïde de Henoch–Schönlein. Ann Radiol 1978;21:215–222.
10.
Bodie B, Novick AC, Rose M, Straffon RA: Long term results with renal auto–transplantation for ureteral replacement. J Urol 1986;136: 1187–1189.
11.
Richie JP, Skinner DG, Waisman J: The effect of reflux on the development of pyelonephritis in urinary diversion: an experimental study. J. Surg Res 1974;16:256–261.
12.
Shokeir AA, Gaballah MA, Ashamallah AA, Ghoneim MA: Optimization of replacement of the ureter by ileum. J Urol 1991;146: 306–310.
13.
Monti PR, Lara RC, Dutra MA, De Carvalho JR: New techniques for construction of efferent conduits based on the Mitrofanoff principle. Urology 1997;49:112–114.
2000
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.